THE RELATIONSHIP BETWEEN INFERTILITY WITH SOCIOCULTURAL AND ECONOMIC SITUATION
Öz
ABSTRACT
Objective: The aim of this study is to
compare sociocultural and economic status of infertile and fertile women and to
determine their role in the etiology of infertility.
Material and Method: A questionnaire
was applied to 64 infertile and 65 non-infertile totally 129 women who were
admitted to the gynecology outpatient clinic of Bozok University Faculty of
Medicine. This questionnaire consists of 16 questions that question age, job,
education and financial status, family type, frequency of sexual intercourse,
duration of infertility, awareness of ovulation time and stress level.
Results: The mean age of infertile
women was 27.8 ± 5.2 years, 32.0 ± 5.1 years in the control group, and there
was a statistically significant difference between the groups (p<0.001). Mean duration of marriage
of infertile women was significantly lower than control group (p<0.001). The mean duration of
infertility of infertile women was 3.2 ± 2.7 years. When the family type was
evaluated, infertile group had significantly more extended family structure
than the control group (p=0.021).
Awareness of ovulation time was significantly higher in the infertile group. (p=0.002).
Conclusion: In our study, it was found
that infertility was more common especially in those with extended family
structure, low education level and low income level. Therefore, some changes in
lifestyle, increase in education and financial status may cause a decrease in
the frequency of infertility.
Key Words: infertility, sociocultural,
economic
Anahtar Kelimeler
Kaynakça
- REFERANSLAR 1. Babore A, Stuppia L, Trumello C, Candelori C, Antonucci I. Male factor infertility and lack of openness about infertility as risk factors for depressive symptoms in males undergoing assisted reproductive technology treatment in Italy. Fertility and sterility. 2017;107(4):1041-7.
- REFERANSLAR 2.Wiweko B, Anggraheni U, Elvira SD, Lubis HP. Distribution of stress level among infertility patients. Middle East Fertility Society Journal. 2017;22(2):145-8.
- REFERANSLAR 3.Boivin J, Bunting L, Collins JA, Nygren KG. International estimates of infertility prevalence and treatment-seeking: potential need and demand for infertility medical care. Human reproduction. 2007;22(6):1506-12.
- REFERANSLAR 4.Denson V. Diagnosis and management of infertility. The Journal for Nurse Practitioners. 2006;2(6):380-6.
- REFERANSLAR 5.Bezold G, Politch JA, Kiviat NB, Kuypers JM, Wolff H, Anderson DJ. Prevalence of sexually transmissible pathogens in semen from asymptomatic male infertility patients with and without leukocytospermia. Fertility and sterility. 2007;87(5):1087-97.
- REFERANSLAR 6.Folkvord S, Odegaard OA, Sundby J. Male infertility in Zimbabwe. Patient education and counseling. 2005;59(3):239-43.
- REFERANSLAR 7.Paavonen J, editor Sexually transmitted chlamydial infections and subfertility. International Congress Series; 2004: Elsevier
- REFERANSLAR 8.Datta J, Palmer M, Tanton C, Gibson L, Jones K, Macdowall W, et al. Prevalence of infertility and help seeking among 15 000 women and men. Human Reproduction. 2016;31(9):2108-18.
- REFERANSLAR 9.Bushnik T, Cook JL, Yuzpe AA, Tough S, Collins J. Estimating the prevalence of infertility in Canada. Human reproduction. 2012;27(3):738-46.
- REFERANSLAR 10. Koçyiğit OT. İnfertilite ve sosyo-kültürel etkileri. İnsanbilim dergisi. 2012;1(1):27-37
- REFERANSLAR 11. A, Halman LJ, Andrews FM. Psychosocial, treatment, and demographic predictors of the stress associated with infertility. Fertility and Sterility. 1992;57(1):122-8
- REFERANSLAR 12.Dunson DB, Baird DD, Colombo B. Increased infertility with age in men and women. Obstetrics & Gynecology. 2004;103(1):51-6.
- REFERANSLAR 13.Petraglia F, Serour GI, Chapron C. The changing prevalence of infertility. International Journal of Gynecology & Obstetrics. 2013;123:S4-S8.
- REFERANSLAR 14.Heredia M, Tenías J, Rocio R, Amparo F, Calleja M, Valenzuela J. Quality of life and predictive factors in patients undergoing assisted reproduction techniques. European Journal of Obstetrics & Gynecology and Reproductive Biology. 2013;167(2):176-80.
- REFERANSLAR 15.Chachamovich JR, Chachamovich E, Ezer H, Fleck MP, Knauth D, Passos EP. Investigating quality of life and health-related quality of life in infertility: a systematic review. Journal of Psychosomatic Obstetrics & Gynecology. 2010;31(2):101-10
- REFERANSLAR 16.Bodur NE, Çoşar B, Erdem M. İnfertil çiftlerde evlilik uyumunun demografik ve klinik değişkenlerle ilişkisi. Cukurova Medical Journal. 2013;38(1):51-62.
- REFERANSLAR 17.Kazemijaliseh H, Tehrani FR, Behboudi-Gandevani S, Hosseinpanah F, Khalili D, Azizi F. The prevalence and causes of primary infertility in Iran: a population-based study. Global journal of health science. 2015;7(6):226.
- REFERANSLAR 18.Dovom MR, Tehrani FR, Abedini M, Amirshekari G, Hashemi S, Noroozzadeh M. A population-based study on infertility and its influencing factors in four selected provinces in Iran (2008-2010). Iranian journal of reproductive medicine. 2014;12(8):561
- REFERANSLAR 19.Çelik AS, Kirca N. Prevalence and risk factors for domestic violence against infertile women in a Turkish setting. European Journal of Obstetrics & Gynecology and Reproductive Biology. 2018.
- REFERANSLAR 20.Nakamura K, Sheps S, Arck PC. Stress and reproductive failure: past notions, present insights and future directions. Journal of assisted reproduction and genetics. 2008;25(2-3):47-62.
- REFERANSLAR 21.Li X-H, Ma Y-G, Geng L-H, Qin L, Hu H, Li S-W. Baseline psychological stress and ovarian norepinephrine levels negatively affect the outcome of in vitro fertilisation. Gynecological Endocrinology. 2011;27(3):139-43.
- REFERANSLAR 22.Chi H-J, Park I-H, Sun H-G, Kim J-W, Lee K-H. Psychological distress and fertility quality of life (FertiQoL) in infertile Korean women: The first validation study of Korean FertiQoL. Clinical and experimental reproductive medicine. 2016;43(3):174-80.
- REFERANSLAR 23.Peronace LA, Boivin J, Schmidt L. Patterns of suffering and social interactions in infertile men: 12 months after unsuccessful treatment. Journal of Psychosomatic Obstetrics & Gynecology. 2007;28(2):105-14.
- REFERANSLAR 24.McQuillan J, Greil AL, White L, Jacob MC. Frustrated fertility: Infertility and psychological distress among women. Journal of Marriage and Family. 2003;65(4):1007-18.
İNFERTİLİTENİN SOSYOKÜLTÜREL VE EKONOMİK DURUMLA İLİŞKİSİ
Öz
ÖZET
Amaç: Bu
çalışmanın amacı; infertil ve fertil kadınların sosyokültürel ve ekonomik
durumlarını karşılaştırmak, bu etkilerin infertilite etyolojisindeki yerini
belirlemektir.
Gereç ve Yöntem: Bozok Üniversitesi Tıp
Fakültesi Hastanesi jinekoloji polikliniğine başvuran 64 infertil ve 65
infertil olmayan toplam 129 kadına anket uygulanmıştır. Bu anket yaş, meslek,
eğitim ve gelir düzey yanında aile tipi, ilişki sıklığı, infertilite süresi,
ovulasyon zamanı farkındalığı ve stres düzeyini sorgulayan 16 sorudan
oluşmaktadır.
Bulgular: İnfertil kadınların yaş ortalaması 27.8±5.2, kontrol grubunun
32.0±5.1’idi ve gruplar arasında istatistiksel olarak anlamlı farklılık vardı
(p<0.001). İnfertil kadınların ortalama evlilik süresi kontrol grubuna göre
anlamlı olarak daha düşük saptandı (p<0.001). İnfertil kadınların
infertilite süresi ortalama 3.2±2.7 yıl olarak
bulundu. Aile tipi değerlendirildiğinde infertil grupta kontrol grubuna göre
anlamlı olarak daha fazla oranda geniş aile yapısı mevuttu (p=0.021). Katılımcıların
ovülasyon zamanı farkındalığı infertil grupta istatistiksel olarak anlamlı
oranda daha yüksek saptandı (p=0.002).
Sonuç: Çalışmamızda özellikle yaşam tarzı geniş aile yapısında olanlarda,
eğitim düzeyi ve gelir düzeyi düşük olanlarda infertilitenin daha fazla
görüldüğü tespit edilmiştir. Bu nedenle, yaşam tarzında yapılacak bazı
değişiklikler, eğitim düzeyinin ve gelir düzeyinin artışı infertilite
sıklığında azalmaya neden olabilir.
Anahtar Kelimeler
Kaynakça
- REFERANSLAR 1. Babore A, Stuppia L, Trumello C, Candelori C, Antonucci I. Male factor infertility and lack of openness about infertility as risk factors for depressive symptoms in males undergoing assisted reproductive technology treatment in Italy. Fertility and sterility. 2017;107(4):1041-7.
- REFERANSLAR 2.Wiweko B, Anggraheni U, Elvira SD, Lubis HP. Distribution of stress level among infertility patients. Middle East Fertility Society Journal. 2017;22(2):145-8.
- REFERANSLAR 3.Boivin J, Bunting L, Collins JA, Nygren KG. International estimates of infertility prevalence and treatment-seeking: potential need and demand for infertility medical care. Human reproduction. 2007;22(6):1506-12.
- REFERANSLAR 4.Denson V. Diagnosis and management of infertility. The Journal for Nurse Practitioners. 2006;2(6):380-6.
- REFERANSLAR 5.Bezold G, Politch JA, Kiviat NB, Kuypers JM, Wolff H, Anderson DJ. Prevalence of sexually transmissible pathogens in semen from asymptomatic male infertility patients with and without leukocytospermia. Fertility and sterility. 2007;87(5):1087-97.
- REFERANSLAR 6.Folkvord S, Odegaard OA, Sundby J. Male infertility in Zimbabwe. Patient education and counseling. 2005;59(3):239-43.
- REFERANSLAR 7.Paavonen J, editor Sexually transmitted chlamydial infections and subfertility. International Congress Series; 2004: Elsevier
- REFERANSLAR 8.Datta J, Palmer M, Tanton C, Gibson L, Jones K, Macdowall W, et al. Prevalence of infertility and help seeking among 15 000 women and men. Human Reproduction. 2016;31(9):2108-18.
- REFERANSLAR 9.Bushnik T, Cook JL, Yuzpe AA, Tough S, Collins J. Estimating the prevalence of infertility in Canada. Human reproduction. 2012;27(3):738-46.
- REFERANSLAR 10. Koçyiğit OT. İnfertilite ve sosyo-kültürel etkileri. İnsanbilim dergisi. 2012;1(1):27-37
- REFERANSLAR 11. A, Halman LJ, Andrews FM. Psychosocial, treatment, and demographic predictors of the stress associated with infertility. Fertility and Sterility. 1992;57(1):122-8
- REFERANSLAR 12.Dunson DB, Baird DD, Colombo B. Increased infertility with age in men and women. Obstetrics & Gynecology. 2004;103(1):51-6.
- REFERANSLAR 13.Petraglia F, Serour GI, Chapron C. The changing prevalence of infertility. International Journal of Gynecology & Obstetrics. 2013;123:S4-S8.
- REFERANSLAR 14.Heredia M, Tenías J, Rocio R, Amparo F, Calleja M, Valenzuela J. Quality of life and predictive factors in patients undergoing assisted reproduction techniques. European Journal of Obstetrics & Gynecology and Reproductive Biology. 2013;167(2):176-80.
- REFERANSLAR 15.Chachamovich JR, Chachamovich E, Ezer H, Fleck MP, Knauth D, Passos EP. Investigating quality of life and health-related quality of life in infertility: a systematic review. Journal of Psychosomatic Obstetrics & Gynecology. 2010;31(2):101-10
- REFERANSLAR 16.Bodur NE, Çoşar B, Erdem M. İnfertil çiftlerde evlilik uyumunun demografik ve klinik değişkenlerle ilişkisi. Cukurova Medical Journal. 2013;38(1):51-62.
- REFERANSLAR 17.Kazemijaliseh H, Tehrani FR, Behboudi-Gandevani S, Hosseinpanah F, Khalili D, Azizi F. The prevalence and causes of primary infertility in Iran: a population-based study. Global journal of health science. 2015;7(6):226.
- REFERANSLAR 18.Dovom MR, Tehrani FR, Abedini M, Amirshekari G, Hashemi S, Noroozzadeh M. A population-based study on infertility and its influencing factors in four selected provinces in Iran (2008-2010). Iranian journal of reproductive medicine. 2014;12(8):561
- REFERANSLAR 19.Çelik AS, Kirca N. Prevalence and risk factors for domestic violence against infertile women in a Turkish setting. European Journal of Obstetrics & Gynecology and Reproductive Biology. 2018.
- REFERANSLAR 20.Nakamura K, Sheps S, Arck PC. Stress and reproductive failure: past notions, present insights and future directions. Journal of assisted reproduction and genetics. 2008;25(2-3):47-62.
- REFERANSLAR 21.Li X-H, Ma Y-G, Geng L-H, Qin L, Hu H, Li S-W. Baseline psychological stress and ovarian norepinephrine levels negatively affect the outcome of in vitro fertilisation. Gynecological Endocrinology. 2011;27(3):139-43.
- REFERANSLAR 22.Chi H-J, Park I-H, Sun H-G, Kim J-W, Lee K-H. Psychological distress and fertility quality of life (FertiQoL) in infertile Korean women: The first validation study of Korean FertiQoL. Clinical and experimental reproductive medicine. 2016;43(3):174-80.
- REFERANSLAR 23.Peronace LA, Boivin J, Schmidt L. Patterns of suffering and social interactions in infertile men: 12 months after unsuccessful treatment. Journal of Psychosomatic Obstetrics & Gynecology. 2007;28(2):105-14.
- REFERANSLAR 24.McQuillan J, Greil AL, White L, Jacob MC. Frustrated fertility: Infertility and psychological distress among women. Journal of Marriage and Family. 2003;65(4):1007-18.